group practice journal

group practice journal PUBLICATION OF THE AMERICAN MEDICAL GROUP ASSOCIATION CONNECT WITH THE LEADERS OF EVERY MEDICAL GROUP IN THE COUNTRY 2016 RATE CARD

group practice journal PUBLICATION OF THE AMERICAN MEDICAL GROUP ASSOCIATION 2016 1 For 65 years, the Group Practice Journal has been providing dynamic business and operational solutions to physician executives, physicians, and administrators at every medical group, IPA, ACO, and integrated delivery system in the country. With a circulation of 70,000, the Group Practice Journal offers an unparalleled reach into the healthcare community. Primary readers of the Group Practice Journal are real decision makers. According to the June 2015 Readex survey, 61 percent of readers have one of the following titles: Physician Administrator, Administrator, Medical Director, President, or CEO in a medical group, with a mean of 381 physicians practicing in the group; 75 percent indicated that they are involved in their organization s purchases of supplies and equipment. The organizations are looking to make major investments in products and services in the coming year. 20 percent said they would purchase or upgrade their electronic medical record system, clinical messaging system, or practice management system; 21 percent mentioned data warehouse/data mining and clinical information systems; and 8 percent mentioned facilities design and enhancement. Most importantly, readers look to the Group Practice Journal for business solutions. 88 percent of readers rated the publication useful in their work and 63 percent indicated that they pass their copy on to one or more additional readers (the mean is 1.7)!

The Group Practice Journal offers strategies and best practices from the leading medical groups in the country. Penned by healthcare professionals, articles offer dynamic, real-world business solutions to physician leaders and administrators at medical groups nationwide. Readers look to the publication to learn strategies and solutions from peers in the profession, healthcare thought leaders, and industry experts. 2016 January: Technology New technology is giving medical groups new tools to help physicians deliver care and engage patients. This issue will focus on ways groups are implementing technological solutions to clinical and operational challenges. Submission Deadline: November 14, 2015 Bonus Distribution: HIMSS February: Leadership Medical groups all face the challenges of effectively leading in times of crisis, as well as developing leaders within their organizations. This issue will feature exemplary leadership that has revitalized organizations as well as strategies groups are using to build leadership bench strength. Submission Deadline: December 3, 2015 Bonus Distribution: AMGA 2016 Annual Conference March: Change Management In the evolving world of health care, medical groups must constantly reinvent themselves to remain successful. This issue will explore operational strategies for anticipating and managing change. Submission Deadline: January 7 April: Accountable Care How do you surmount the challenges of improving the patient experience, improving the health of populations, reducing the cost of care? This issue explores operational strategies for thriving in an era of evolving payment models. Submission Deadline: February 11 May: Reimbursement and Contracting New reimbursement models are being developed that redefine the responsibilities in insurance and healthcare delivery. This issue will study ways that medical groups can maximize reimbursement. Submission Deadline: March 6 June: Health Law Medical group leaders need to be knowledgeable about the evolving laws governing health care. This issue will examine some of the laws and regulations that will have an impact on medical groups and the way they operate in the coming years. Submission Deadline: April 3 Bonus Service: Readex Ad Perception Study July/August: Connectivity and Patient Engagement With new services and technology, along with the rise of consumerism, medical groups must find new ways to connect with the various stakeholders in health care. This issue will investigate aspects of this challenge. Submission Deadline: May 22 September: Compensation Medical group leaders nationwide are searching for the right formula for physician compensation. This issue will explore effective compensation models and provide analysis of trends found in the AMGA 2016 Medical Group Compensation and Productivity Survey. Submission Deadline: July 10 Bonus Distribution: MGMA s Annual Conference October: Population Health As the industry shifts from volume-based payment models to ones based on value, medical groups must find new ways to engage and treat patients, especially those with chronic diseases. This issue will explore how groups are addressing the challenges of population health management. Submission Deadline: August 7 Bonus Distribution: AMGA s Institute for Quality Leadership Annual Conference November/December: Operations and Revenue Enhancement In the face of dwindling reimbursement, creative operational solutions are needed. This issue will examine how groups have been able to save money or find new sources of revenue by focusing on their operations, while maintaining quality care. Submission Deadline: September 25 Story Ideas? Bonus Service: AMGA Industry Partner Directory Contact Tom Flatt, (703) 838-0033, ext. 328, (703) 548-1890 fax, tflatt@amga.org 2

The Group Practice Journal is the flagship publication of the American Medical Group Association (AMGA), which represents medical groups, including some of the nation s largest, most prestigious integrated healthcare delivery systems. AMGA supports its members in enhancing population health and care for patients through integrated systems of care. The members of AMGA deliver health care to approximately 120 million patients. The average AMGA member group has 440 physicians. Headquartered in Alexandria, Virginia, AMGA is the strategic partner for medical groups providing a comprehensive package of benefits, including political advocacy, educational and networking programs and publications, benchmarking data services, and financial and operations assistance. AMGA members are the leading medical groups in the country, groups that will have a profound impact on the future of health care. Below is information about several representative AMGA member physician groups. 3 Baylor Scott and White Health Sites: 60 sites Providers: 850 providers Region: Central Texas Carilion Clinic Sites: 75 satellite offices Providers: 650 providers Region: Virginia Catholic Health Initiatives Sites: 135 satellite offices Providers: 18 provider groups and 3,000 physicians Region: Arkansas, Colorado, Indiana, Iowa, Kansas, Kentucky, Minnesota, Nebraska, New Jersey, New Mexico, North Dakota, Ohio, Oregon, Pennsylvania, Tennessee, Texas, Washington, and Wisconsin Cleveland Clinic Sites: 11 hospitals, 26 satellite offices Providers: More than 3,000 providers Region: Northeastern Ohio DaVita HealthCare Partners Sites: 816 satellite offices Providers: 6 groups with more than 950 providers Region: Arizona, California, Colorado, Florida, Nevada, and New Mexico Dean Health Systems, Inc. Sites: 60 satellite offices Providers: More than 400 providers Region: Wisconsin The Everett Clinic Sites: 16 satellite offices Providers: 350 physicians Region: Washington Geisinger Health System Sites: 60 satellite offices Providers: 800 physicians Region: Pennsylvania Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center Sites: 1 medical center with numerous in-patient and out-patient clinical centers and 649 licensed beds, 20 satellite offices Providers: 915 providers Region: Greater Boston, Massachusetts area HealthPartners Sites: 7 hospitals and more than 70 satellite offices Providers: 1,300 providers Region: Minnesota and Wisconsin Henry Ford Health System Sites: 5 health system hospitals and 30+ medical centers Providers: More than 1,200 providers Region: Detroit metro area, southeastern Michigan Intermountain Healthcare Sites: 22 hospitals and 185 clinics Providers: More than 625 providers Region: Idaho and Utah The Iowa Clinic, P.C. Sites: 27 satellite offices Providers: 170 physicians Region: Iowa The Jackson Clinic, P.A. Sites: 15 satellite offices Providers: 135 physicians Region: Tennessee

Kelsey-Seybold Clinic Sites: 21 satellite offices Providers: 370 physicians Region: Houston, Texas Lahey Clinic Sites: 31 sites Providers: More than 500 physicians and 5,000 nurses, therapists, and other support staff Region: Massachusetts The Portland Clinic Sites: 3 satellite offices Providers: 52 physicians Region: Portland, Oregon Sharp Rees-Stealy Medical Group, Inc. Sites: 19 medical centers and 7 hospitals Providers: 389 physicians Region: California Mayo Clinic Health System Sites: Mayo Clinic and satellite offices Providers: More than 3,600 physicians and scientists Region: Arizona, Florida, Georgia, Iowa, Minnesota, and Wisconsin Mercy Sites: 144 satellite offices Providers: 6 groups with more than 1,600 providers Region: Arizona, Missouri, and Oklahoma Mount Kisco Medical Group Sites: 25 satellite offices Providers: 450 physicians Region: New York Sutter Medical Foundation Sites: 32 satellites Providers: 824 physicians Region: Northern California The Vanderbilt Medical Group Sites: 125 satellite offices Providers: 1,487 providers Region: Nashville, Tennessee Virginia Mason Medical Center Sites: 1 hospital, 14 clinics, 7 satellite offices Providers: 460 physicians Region: Western Washington continued Northwest Physicians Network Sites: 1 medical center Providers: 500 providers Region: Pacific Northwest Ochsner Health System Sites: 41 satellite offices Providers: 850 physicians Region: New Orleans, Louisiana The Permanente Federation, LLC Sites: 400 satellite offices Providers: More than 19,240 providers Region: California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Ohio, Oregon, Virginia, and Washington 4

5 CIRCULATION SUMMARY Group Practice Journal is distributed to physician executives, physicians, and administrators at medical groups, IPAs, ACOs, and integrated delivery systems nationwide. CIRCULATION (May 2015 Issue) AMGA Members 46,093 CEOs of Medical Groups 19,808 Leadership of Integrated Delivery Systems 1,704 Leadership of IPAs 690 Leadership of ACOs 375 All Other 1,036 Total Circulation 69,706 Figures are approximate. Circulation is updated each issue to include new AMGA member groups and physician-owned and -operated IPAs, physician executives, and new subscriptions by physicians in non-member groups, etc. While the circulation of the Journal averages approximately 70,000, actual readership could be double that amount: the Readex survey revealed that an average of 1.7 additional people read the subscriber s copy of the publication. The Group Practice Journal is distributed to the leaders of every medical group, ACO, IPA, and integrated delivery system in the country. A medical group is three or more physicians who are formally organized as a legal entity in which business, clinical and administrative facilities, records, and personnel are shared, with a predetermined arrangement to divide up the income. Medical groups come in all shapes and sizes and provide health care using a variety of delivery models. Some are housed in one clinic, while others are affiliated practices covering a broad geographic region. Some groups operate under the umbrella of a hospital, some own hospitals, some operate HMOs or contract with managed care organizations. Some groups concentrate on one medical specialty, such as diabetes care or cardiology, while others offer multiple specialties, from preventive care services to complex cancer treatment. Leadership also varies some groups are physician-led, while non-physician executives and administrators lead others, and in other groups, physicians and administrators govern as a team. One thing is certain: medical groups are the premier models of quality care delivery and their leadership will determine the future of health care in America. More than a third of all U.S. physicians choose to practice in a medical group, and the number continues to grow. Medical groups represent a large and geographically diverse segment of the healthcare market, as demonstrated in the tables in this section. BONUS DISTRIBUTION OPPORTUNITIES JANUARY issue is distributed at HIMSS. FEBRUARY issue is distributed to every attendee at the AMGA 2016 Annual Conference. MAY issue contains the AMGA Industry Partner Directory. JUNE issue is used for a Readex Ad Perception Study. SEPTEMBER issue is distributed at MGMA s Annual Conference. OCTOBER issue is distributed at AMGA s Institute for Quality Leadership Annual Conference.

NUMBER OF MEDICAL GROUPS IN THE U.S. BY SIZE Size of Group (Number of Physicians) Number of Medical Groups 3 6,335 4 3,342 continued 5 to 6 4,569 7 to 9 3,626 10 to 15 2,727 16 to 25 1,452 26 to 49 817 50 to 75 221 76 to 99 97 100 or more 223 Source: SK&A Information Services Inc., MPM & Surgi Centers Mgmt Decision Makers, 2013 GROUP PHYSICIANS AS A PERCENTAGE OF TOTAL PHYSICIANS IN THE U.S. Year % Group Physician Positions Total Physicians NUMBER OF INDIVIDUAL PHYSICIANS IN MEDICAL GROUPS BY GROUP SIZE Size of Group (Number of Physicians) Number of Physicians in Group 3 15,550 4 13,368 5 to 6 24,803 7 to 9 28,351 10 to 15 32,601 16 to 25 28,203 26 to 49 28,322 50 to 75 13,234 76 to 99 8,362 100 or more 58,880 Source: SK&A Information Services Inc., MPM & Surgi Centers Mgmt Decision Makers, 2013 1965 10.2 277,575 1969 13.2 302,966 1975 18.2 366,425 1980 20.3 435,545 1984 29.3 479,440 1988 28.3 549,160 1991 31.0 594,697 1995 32.6 646,022 1996 31.2 663,943 2005 30.4 792,154 2011 35.7 724,823 2012 29.5 850,085 Source: Medical Group Practices in the US, 2006 Edition, American Medical Association; 2010 FSMB Census of Licensed Physicians; and SK&A Information Services Inc., MPM & Surgi Centers Mgmt Decision Makers, 2013 6

7 NUMBER OF PHYSICIANS IN MEDICAL GROUPS BY GROUP TYPE Medical Specialty Single-Specialty Multispecialty Acupuncturist (ACU) 20 43 Addiction Medicine (ADD) 15 17 Adolescent Medicine (ADO) 42 192 Aerospace Medicine (AER) 13 14 Allergist (ALL) 62 177 Allergist/Immunologist (AIM) 947 449 Anesthesiologist (ANS) 10,673 1,418 Bariatrician (BAR) 18 33 Cardiovascular Disease (CAR) 9,014 3,373 Child Neurology (CHN) 181 192 Child Psychiatrist (CHP) 450 72 Chiropractor (CHR) 107 147 Colon/Rectal Surgeon (CRS) 331 170 Critical Care Specialist (CCM) 34 219 Dentist/Oral Surgeon (DNT) 840 232 Dermatologist (DER) 2,305 1,009 Dermatopathology (DMT) 103 33 Diabetes Specialist (DBT) 39 16 Diagnostic Radiologist (DRD) 9,595 2,117 Emergency Medicine Specialist (EMR) 5,370 1,100 Endocrinology & Metabolism (END) 810 1,019 Epileptologist (EPL) 31 15 Family Practitioner (FMP) 17,401 12,897 Gastroenterologist (GAS) 4,107 1,676 General Practitioner (GNP) 161 325 General Surgeon (GNS) 3,452 2,662 Genetics Specialist (GEN) 68 86 Geriatrician (GER) 139 276 Gynecologic Oncologist (GYO) 133 215 Gynecologist (GYN) 975 433 Hand Surgeon (HDS) 192 103 Head & Neck Surgery (HNS) 9 25 Hematologist (HEM) 61 64 Hepatologist (HEP) 49 57 Holistic Medicine (HTM) 14 19 Immunologist (IMM) 2 8 Infectious Disease Specialist (INF) 890 621 Internal Medicine/Pediatrics (IMP) 168 505 Internist (INT) 9,850 13,678 Neonatologist (NEO) 1,044 288 Nephrologist (NEP) 3,440 876 Neurologist (NEU) 2,341 2,001 Neuroradiology Specialist (NER) 90 175 Neurosurgeon (NSG) 801 856 Nuclear Medicine Specialist (NUC) 43 52 Obstetrician/Gynecologist (OBG) 9,661 3,021 continued Medical Specialty Single-Specialty Multispecialty Occupational Medicine Spec (OCM) 471 296 Oncologist (ONL) 220 293 Oncologist/Hematologist (ONC) 3,084 1,894 Ophthalmologist (OPH) 7,199 841 Optometrist (OPT) 2,762 452 Orthopedic Foot & Ankle (OFA) 52 34 Orthopedic Reconstructive Sgn (ORC) 61 13 Orthopedic Spine Surgeon (OSN) 168 138 Orthopedic Surgeon (ORS) 8,088 3,582 Other (OTH) 3 19 Otolaryngologist (OTO) 2,705 1,129 Pain Management Specialist (PAI) 196 344 Pathologist (PTH) 2,890 559 Pediatric Cardiology (PDC) 410 232 Pediatric Critical Care (PCT) 88 64 Pediatric Endocrinology (PDE) 108 225 Pediatric Gastroenterology (PGY) 122 152 Pediatric Hematology/Oncology (PHO) 209 159 Pediatric Pulmonology (PDP) 67 129 Pediatric Radiology (PDR) 66 44 Pediatric Surgeon (PDS) 225 106 Pediatrician (PED) 12,521 5,596 Physical Medicine/Rehab Spec (PHM) 1,071 863 Plastic Surgeon (PLS) 671 420 Podiatrist (POD) 1,872 1,031 Preventive Medicine Specialist (GPM) 23 16 Psychiatrist (PSY) 3,803 821 Psychologist (PSC) 1,637 749 Pulmonary Critical Care (PCC) 1,394 576 Pulmonologist (PUL) 830 1,052 Radiation Oncologist (RDO) 1,138 406 Radiologist (RAD) 675 680 Reproductive Endocrinology (REN) 322 109 Rheumatologist (RHU) 785 912 Sleep Medicine (SLP) 62 142 Sport Medicine Specialist (SPM) 179 288 Thoracic Surgeon (THS) 714 439 Transplant Surgeon (TRA) 52 167 Trauma Surgeon (TRM) 78 96 Urgent Care Specialist (URG) 491 708 Urologist (URO) 3,498 974 Vascular & Interventional Rad (VIR) 42 282 Vascular Surgeon (VAS) 482 516 Source: SK&A Information Services Inc., MPM & Surgi Centers Mgmt Decision Makers, 2013

DISTRIBUTION OF MEDICAL GROUPS BY STATE State Number of Medical Groups Physician Positions Alabama 453 3,483 Alaska 66 420 Arizona 447 4,603 Arkansas 207 1,743 California 2,076 30,156 Colorado 443 4,303 Connecticut 430 4,431 Delaware 105 708 District of Columbia 49 600 Florida 1,436 15,019 Georgia 796 6,847 Hawaii 78 666 Idaho 114 1,054 Illinois 1,001 10,404 Indiana 445 6,379 Iowa 188 2,300 Kansas 238 2,227 Kentucky 382 3,111 Louisiana 336 3,390 Maine 117 1,020 Maryland 518 4,386 Massachusetts 573 6,938 Michigan 911 8,172 Minnesota 255 7,280 Mississippi 218 1,751 Missouri 406 4,646 Source: SK&A Information Services Inc., MPM & Surgi Centers Mgmt Decision Makers, 2013 State Number of Medical Groups Physician Positions Montana 78 917 Nebraska 175 1,855 Nevada 171 1,806 New Hampshire 107 1,174 New Jersey 910 7,189 New Mexico 103 1,307 New York 1,696 15,466 North Carolina 736 7,400 North Dakota 62 849 Ohio 1,042 10,717 Oklahoma 185 1,997 Oregon 318 3,445 Pennsylvania 1,336 12,294 Rhode Island 135 1,219 South Carolina 421 3,417 South Dakota 62 511 Tennessee 517 6,101 Texas 1,301 14,692 Utah 142 1,778 Vermont 61 332 Virginia 661 5,759 Washington 453 5,955 West Virginia 154 1,166 Wisconsin 278 7,635 Wyoming 48 27 8

ISSUANCE A. Published by: American Medical Group Association (AMGA). B. Group Practice Journal is published 10 times a year January, February, March, April, May, June, July/ August, September, October, and November/ December. C. Subscription rate is $135.00 per year. Digital subscription rate is $135.00 per year. ESTABLISHED 1951, current volume number 65 ORGANIZATION AFFILIATIONS Member of BPA Worldwide and Association Media & Publishing. CIRCULATION SUMMARY Group Practice Journal is distributed to physician executives, physicians, and administrators at medical groups, IPAs, ACOs, and integrated delivery systems nationwide. EDITORIAL The Group Practice Journal addresses the vital business information needs of the medical group industry with practical, timely articles about everything from implementing best practices to negotiating managed care contracts to building successful integrated healthcare delivery systems. Written by physician leaders and industry professionals, the Journal is the flagship publication of the American Medical Group Association the national organization dedicated to addressing all issues affecting medical groups, physician-owned and -managed IPAs, ACOs, and integrated delivery systems. EDITORIAL/ADVERTISING RATIO 60/40 Advertising is fully interspersed with editorial copy. CONTRACT AND COPY REGULATIONS A. All contracts and contents of advertisements are subject to the publisher s approval. Publisher reserves the right to reject or cancel any advertisement, insertion order, space reservation, or position commitment. B. Publisher reserves the right to put the word advertisement on advertising which, in the publisher s opinion, resembles editorial material. C. Publisher guarantees uniform rates and discounts to all advertisers using the same amount and kind of space. No exceptions to published rates. D. Only insertions of a parent company and subsidiaries are combined to determine the earned rates. E. Rates are subject to change with 90 days notice. Contracts accepted with the understanding that rates will be guaranteed up to three months beyond last issue closed. In the event of a rate increase, contracts may be terminated without penalty of short rate. F. After firm space commitment has been made, extensions may be given for production materials if proper notification is given to the publisher. If ad copy is not provided by closing date, publisher reserves the right to repeat a former ad. ADVERTISERS INDEX Back of Book includes company name, website address, and page on which advertisement appears. BLACK-AND-WHITE RATES (Effective with the January 2016 issue of the Group Practice Journal) 1X 3X 6X 10X 18X 24X 36X 48X Full Page 5,925 5,655 5,375 4,605 4,090 3,890 3,695 3,415 2/3 page 5,015 4,775 4,560 3,895 3,440 3,275 3,130 2,965 1/2 page 3,795 3,605 3,425 3,335 2,940 2,645 2,350 2,180 1/3 page 3,030 2,880 2,740 2,350 2,055 1,955 1,845 1,705 1/4 page 2,115 2,015 1,925 1,650 1,455 1,380 1,310 1,225 9 1/8 page 1,370 1,305 1,240 1,110 1,055 945 895 805 Rate is determined by number of insertions. A spread is considered two insertions. Each page of an insert is considered an insertion (note that the Group Practice Journal offers a page free with the placement of 4-page inserts and up); business reply cards count as one insertion. Insertions by parent company s subsidiaries are combined to determine earned rate. Split-runs are considered full insertions in the calculation of the appropriate rate. Inserts are commissionable.

INSERTS continued 1X 3X 6X 10X 18X 24X 36X 48X SPECIAL POSITIONS 2-page 11,850 11,310 10,750 9,210 8,180 7,780 7,390 6,830 4-page 17,775 16,965 16,125 13,815 12,270 11,670 11,085 10,245 Cover 2 $625 Cover 3 $325 8-page 41,475 39,585 37,625 32,235 28,630 27,230 25,865 23,905 BRC 5,925 5,655 5,375 4,605 4,090 3,890 3,695 3,415 COLOR In addition to Black-and-White rates: One Color (per page): $320 Match Color (per page): $635 Metallic Ink (in addition to color rates): $417 Three and Four Color (per page): $1,425 Five Color (per page): $1,745 BLEED No charge. Page facing table of contents: earned rate plus 10% (plus color). Other preferred or special positions are earned rate plus 10% (plus color). SPLIT-RUNS 1. Split-runs can be either geographic (state or ZIP code) or demographic. 2. Inserts and ROB advertising units are accepted. 3. Split-run insertions will count toward earned frequency discounts. 4. All split-run ROB advertising units must be full-page ads. 5. Split-run additional production charges are noncommissionable. SPLIT-RUN RATES INSERTS (SUPPLIED) 1. If using 50% or less of the Group Practice Journal s circulation rate is 50% of the full-run rate blackand-white cost. 2. If using 51% or more of the Group Practice Journal s circulation rate is the full-run rate. SPLIT-RUN RATES ROB 1. If using 50% or less of the Group Practice Journal s circulation rate is 50% of the full-run rate black-and-white cost plus full-color charges. 2. If using 51% or more of the Group Practice Journal s circulation rate is the full-run rate plus full-color charges. Split-run production charges: $1,250 per split-run ROB advertisement (non-commissionable). No additional charge for inserts. Cover 4 $1,195 Inserts are commissionable. Advertisers receive a free page with every supplied insert over 4-pages (4-page ad rate is based on 3 pages; 8-page insert ad rate is based on 7 pages, etc.) MEMBER/CORPORATE PARTER/AGENCY COMMISSIONS AND DISCOUNT TERMS A. Member Discount: 10% to AMGA Medical Group Members. B. Corporate Partner Discount: 50% to members of the Chairman s Circle, 30% to AMGA Premier Corporate Partners, 10% to AMGA Executive Corporate Partners. C. Agency Discount: 15% to recognized ad agencies for payment made within 30 days of invoice date. Accounts not paid within 60 days from invoice date forfeit commission. D. Cash Discount: 2% if paid within 10 days of invoice date. E. Contact your sales representative for details on frequency discounts and other merchandising opportunities. CANCELLATIONS A. Notification in writing of space cancellations must be received by space closing deadline. B. If space is canceled after deadline or material is received too late, the advertiser will be charged for the insertion. C. Covers are non-cancelable. DIGITAL VERSION OF THE GROUP PRACTICE JOURNAL Every advertisement appearing in the print version of the Journal will also appear in the digital (online) version that is received by AMGA members (AMGA members can choose to receive the print version, digital version, or both) and paid subscribers. There is no additional charge for advertisements appearing in the digital version. Advertisements appearing in the digital version will be linked directly to advertiser s website or e-mail address (if the advertisement carries a website address or e-mail address). Contact Lisa Trinkle at ( 856) 768-9360 to discuss enhancing your advertisement in the digital version of Group Practice Journal. 10

DIGITAL AD REQUIREMENTS The following information should be included with every submission: 1. Advertiser name/agency name 2. Artist contact phone number or e-mail 3. SWOP compliance match print proof FORMAT Press-ready Hi-Res Adobe PDF: PDF distilled from postscript is preferred. Embed all fonts and images. PMS colors must be changed to CMYK. All images for ads should be color corrected and provided at or above 300 dpi. Image files should be tiff or eps. Jpg files are not acceptable. Select all printer marks and bleeds should be set to.125 inches. SENDING FILES: 1. Electronically via e-mail to dharvel@amga.org. E-mail attachments are limited to 5 MB. Other options are available for files over 5 MB, call or e-mail Dianne Harvel at (304) 725-0058, or dharvel@amga.org for information. 2. Mail on a CD-ROM to Dianne Harvel, Art Director (address on page 14). 4/C placement must be in CMYK. RGB files are not accepted. 3. Mail Color Proof to Dianne Harvel, Art Director (address on page 14). Color ads: A SWOP certified contract level proof is required for color guidance on the press, if a SWOP certified proof is not supplied, Group Practice Journal cannot guarantee the color reproduction of your ad. Minimum 300 dpi recommended at 100% of size. Note: Any output problems are the responsibility of the advertiser. Charges incurred for output problems will be passed on to the advertiser and are not commisionable. INSERTS AND BUSINESS REPLY CARD REQUIREMENTS All furnished inserts should be cleared through the Art Director before the insert specifications are finalized. SHIPPING INFORMATION FOR INSERTS AND BUSINESS REPLY CARDS After approval from the Art Director insert should be sent to: R.R. Donnelley Long Prairie Division 100 Banta Road Long Prairie, MN 56347-1903 Attn: Cindy Dalton Phone: (320) 732-7937 Trim size of the Group Practice Journal is 8-1/8'' x 10-7/8''. Please allow 1/8'' over trim size for any portion of ad that is to bleed. Copy that does not bleed, or any live copy should be 1/4'' from trimmed edge. 11

continued Questions? Please call or e-mail Dianne Harvel, Art Director (304) 725-0058 dharvel@amga.org MECHANICAL SPECIFICATIONS Floating Ad Size Trim Bleed Size* Spread 15-1/4'' x 10'' 16-1/4'' x 10-7/8'' Full Page 7'' x 10'' 8-1/8'' x 10-7/8'' 2/3 Page H 7'' x 6-5/8'' 8-1/8'' x 6-5/8'' 2/3 Page V 4-3/4'' x 10'' 5-1/4'' x 10-7/8'' 1/2 Page H 7'' x 5'' 8-1/8'' x 5-1/4'' 1/2 Page V 3-1/4'' x 10'' 4'' x 10-7/8'' 1/3 Page H 7'' x 3-3/8'' 8-1/8'' x 3-1/4'' 1/3 Page V 2-1/4'' x 10'' 2-3/4'' x 10-7/8'' 1/4 Page 3-1/4'' x 5'' 4-1/8'' x 5-1/4'' 1/8 Page 3-1/4'' x 2-1/2'' No Bleed * Pull bleeds out 1/8 (Horizontal H/Vertical V). AD UNIT EXAMPLES 1/8 Page 1/4 Page 1/3 Page Vertical 1/3 Page Horizontal 1/2 Page Vertical 1/2 Page Horizontal 2/3 Page Vertical 2/3 Page Horizontal Full Page 2-Page Spread 12

PRINT AND DIGITAL GROUP PRACTICE JOURNAL January Space Deadline December 2, 2015 Electronic Deadline December 16, 2015 Inserts Due December 21, 2015 February Space Deadline January 5, 2016 Electronic Deadline January 19, 2016 Inserts Due January 23, 2016 March Space Deadline February 2, 2016 Electronic Deadline February 16, 2016 Inserts Due February 22, 2016 April Space Deadline March 2, 2016 Film Deadline March 9, 2016 Inserts Due March 21, 2016 May Space Deadline April 6, 2016 Electronic Deadline April 20, 2016 Inserts Due April 25, 2016 June Space Deadline May 4, 2016 Electronic Deadline May 18, 2016 Inserts Due - May 23, 2016 July/August Space Deadline July 13, 2016 Electronic Deadline July 27, 2016 Inserts Due August 1, 2016 September Space Deadline August 10, 2016 Electronic Deadline August 24, 2016 Inserts Due August 29, 2016 October Space Deadline September 7, 2016 Electronic Deadline September 21, 2016 Inserts Due September 26, 2016 November/December Space Deadline November 2, 2016 Electronic Deadline November 16, 2016 Inserts Due November 21, 2016 13

ADVERTISING SALES, CONTRACTS, INSERTION ORDERS Lisa Trinkle M. J. Mrvica Associates, Inc. 2 West Taunton Avenue Berlin, NJ 08009 (856) 768-9360, Fax (856) 753-0064 ltrinkle@mrvica.com Ad Materials Dianne Harvel Art Director, Group Practice Journal One Prince Street Alexandria, VA 22314-3318 (304) 725-0058 dharvel@amga.org Other Staff Donald W. Fisher, Ph.D. Publisher Fred Haag Vice President of Publications (703) 838-0033, ext. 329 fhaag@amga.org Tom Flatt Editor (703) 838-0033, ext. 328 tflatt@amga.org Christopher Gibbs Circulation (703) 838-0033, ext. 362 cgibbs@amga.org Group Practice Journal One Prince Street Alexandria, VA 22314-3318 (703) 838-0033 www.amga.org 14

ADVERTISING SALES OFFICE M. J. Mrvica Associates, Inc. 2 West Taunton Avenue Berlin, NJ 08009 (856) 768-9360 mrvica.com GROUP PRACTICE JOURNAL One Prince Street Alexandria, Virginia 22314-3318 (703) 838-0033 www.amga.org